Clinical trial Recruiting at 38 sites Phase2; Phase3 Interventional Ages 12 and up

Phase 2/3 testing of osivelotor in adults and adolescents with sickle cell disease.

Official title: A PHASE 2/3 RANDOMIZED, MULTICENTER STUDY OF OSIVELOTOR ADMINISTERED ORALLY TO ADULT AND ADOLESCENT PARTICIPANTS WITH SICKLE CELL DISEASE

Run by Pfizer · NCT05431088 · Data updated 2026-11-12

This trial tests whether an oral medicine called osivelotor can safely reduce pain crises and improve blood measures in people aged 12–65 with sickle cell disease.

More Sickle Cell Disease trials

Quick facts

PhasePhase2; Phase3
Study typeInterventional
Ages12 Years and up
SexAll
Enrollment389 (estimated)
SponsorPfizer
Industry-sponsored
Locations80 sites (Mobile, Alabama and 79 other locations)
StatusRecruiting
StartedSeptember 22, 2022
Main results expectedDecember 30, 2030
Study endsDecember 31, 2032
Registry record updatedAugust 18, 2026
Trial IDNCT05431088 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Ideal candidates are people aged 12–65 with sickle cell disease who have had 2 to 10 vaso-occlusive crises in the past year and can keep a stable dose of hydroxyurea or L‑glutamine if they are taking those medicines.

Probably not a fit

Patients who are pregnant or breastfeeding, receive regular red blood cell transfusions, have had more than 10 crises in the past year, or were recently hospitalized for a vaso-occlusive event are unlikely to qualify or benefit from this protocol.

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This multicenter, Phase 2/3 program gives oral osivelotor to adolescents and adults with sickle cell disease to define an optimal dose, compare efficacy with placebo over 48 weeks, and offer a long-term open-label extension for safety and blood response monitoring. Part A is a dose-finding phase in adults to establish safety, tolerability and pharmacokinetics/pharmacodynamics. Part B randomizes adults and adolescents to osivelotor or placebo to measure clinical outcomes including vaso-occlusive crises over 48 weeks. The Open-Label Extension follows participants who completed Part B to collect longer-term safety and hematologic data.

Why it matters

Potential benefit: If successful, osivelotor could lower the frequency of painful vaso-occlusive crises and improve hemoglobin or other blood measures for people with sickle cell disease.

How similar studies have gone: Other modern sickle cell therapies such as voxelotor (improving hemoglobin) and crizanlizumab (reducing crises) have shown clinical benefits, so this approach builds on prior successful targeted treatments.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

Part A and Part B:

* Male or female with SCD, HbSS and HbSB-zero
* Participants with Hemoglobin ≥ 5.5 and ≤ 10.5 g/dL during Screening and considered stable by the Investigator.
* For participants taking hydroxyurea and/or L-glutamine, the dose must be stable for at least 90 days prior to signing the ICF or assent and with no anticipated need for dose adjustments during the study in the opinion of the Investigator.

Part B:

* Participants with SCD ages 12 years and older, inclusive at screening.
* Participants with more than or equal to 2 and ≤ 10 VOCs within 12 months of Screening.

OLE:

\- Participants who have completed the Part B successfully will be eligible.

Exclusion Criteria:

Part A and Part B:

* Participants who had more than 10 VOC within 12 months of screening
* Female participant who is breastfeeding or pregnant
* Participants who receive RBC transfusion therapy regularly or received an RBC transfusion ---for any reason within 90 days of Day 1
* Participants hospitalized for sickle cell crisis or other vaso-occlusive event within 14 days of signing the ICF or anytime during the screening period.
* Participants in Sub-Saharan Africa or who have relocated from Sub-Saharan Africa within 6 months.

OLE:

* Have any unresolved clinically significant adverse event, laboratory abnormality, or safety finding from Part B that, in the opinion of the Investigator, increases the risk of study drug administration.
* Met permanent treatment discontinuation criteria during Part B.
* Have withdrawn consent or are unable to comply with study procedure

Where it's running

  • AMR Clinical
    Mobile, Alabama, United States
    Recruiting
  • Edward Jenner Research Group LLC.
    Plantation, Florida, United States
    Recruiting
  • Pediatric Hematology / Oncology a division of Kidz Medical services
    West Palm Beach, Florida, United States
    Recruiting
  • St. Mary's Medical Center
    West Palm Beach, Florida, United States
    Recruiting
  • Children's Center for Advanced Pediatrics
    Atlanta, Georgia, United States
    Recruiting
  • University of Illinois at Chicago Clinical Research Center
    Chicago, Illinois, United States
    Recruiting
Show 44 more locations
  • University of Illinois Hospital and Health Sciences System - Investigational Drug Services (IDS)
    Chicago, Illinois, United States
    Recruiting
  • University of Illinois Hospital and Health Sciences System
    Chicago, Illinois, United States
    Recruiting
  • Southern Specialty Research
    Flowood, Mississippi, United States
    Recruiting
  • University Health
    Kansas City, Missouri, United States
    Recruiting
  • Jack & Sheryl Morris Cancer Center
    New Brunswick, New Jersey, United States
    Recruiting
  • Robert Wood Johnson University Hospital
    New Brunswick, New Jersey, United States
    Recruiting
  • Rutgers Cancer Institute of New Jersey
    New Brunswick, New Jersey, United States
    Recruiting
  • Icahn School of Medicine at Mount Sinai
    New York, New York, United States
    Recruiting
  • Jacobi Medical Center
    The Bronx, New York, United States
    Recruiting
  • Duke University IDS Pharmacy
    Durham, North Carolina, United States
    Recruiting
  • Duke University Medical Center
    Durham, North Carolina, United States
    Recruiting
  • ECU Physicians, Brody Outpatient Clinic
    Greenville, North Carolina, United States
    Recruiting
  • Prisma Health Laurens County Hospital
    Clinton, South Carolina, United States
    Recruiting
  • Prisma Health - Upstate
    Greenville, South Carolina, United States
    Recruiting
  • Prisma Health Greenville Memorial Hospital
    Greenville, South Carolina, United States
    Recruiting
  • Prisma Health Outpatient Radiology - Greenville
    Greenville, South Carolina, United States
    Recruiting
  • Prisma Health Patewood Hospital
    Greenville, South Carolina, United States
    Recruiting
  • Prisma Health Greer Memorial Hospital
    Greer, South Carolina, United States
    Recruiting
  • Prisma Health Hillcrest Hospital
    Simpsonville, South Carolina, United States
    Recruiting
  • Prisma Health North Greenville Hospital
    Travelers Rest, South Carolina, United States
    Recruiting
  • Inova Schar Cancer Institute
    Fairfax, Virginia, United States
    Recruiting
  • Fundacao Faculdade Regional de Medicina de Sao Jose do Rio Preto
    São José do Rio Preto, São Paulo, Brazil
    Recruiting
  • Nirmal Hospital Pvt Ltd
    Surat, Gujarat, India
    Recruiting
  • Haemato Oncology Care Centre
    Vadodara, Gujarat, India
    Recruiting
  • Chopda Medicare & Research Centre Pvt. Ltd: Magnum Heart Institute
    Nashik, Maharashtra, India
    Recruiting
  • University Hospitals Bristol and Weston NHS Foundation Trust
    Bristol, United Kingdom
    Recruiting
  • Bristol Royal Infirmary
    Bristol, United Kingdom
    Recruiting
  • University College London Hospital
    London, United Kingdom
    Recruiting
  • Guy's & St Thomas' NHS Foundation Trust
    London, United Kingdom
    Recruiting
  • King's College Hospital NHS Foundation Trust
    London, United Kingdom
    Recruiting
  • Hammersmith Hospital, Imperial College Healthcare NHS Trust
    London, United Kingdom
    Recruiting
  • Hammersmith Hospital
    London, United Kingdom
    Recruiting
  • Connecticut Children's Medical Center
    Hartford, Connecticut, United States
    Not yet recruiting
  • Smilow Cancer Hospital
    New Haven, Connecticut, United States
    Not yet recruiting
  • Alpha Clinical Research Georgia
    Dunwoody, Georgia, United States
    Active not recruiting
  • Sonar Clinical Research
    Riverdale, Georgia, United States
    Active not recruiting
  • LSU Health Baton Rouge-North Clinic
    Baton Rouge, Louisiana, United States
    Active not recruiting
  • Our Lady of the Lake Hospital, Inc.
    Baton Rouge, Louisiana, United States
    Active not recruiting
  • Our lady of the Lake Hospital
    Baton Rouge, Louisiana, United States
    Active not recruiting
  • University Medical Center New Orleans
    New Orleans, Louisiana, United States
    Active not recruiting
  • Children's Hospital of Michigan
    Detroit, Michigan, United States
    Not yet recruiting
  • Great Lakes Research Institute, Flourish Detroit
    Southfield, Michigan, United States
    Not yet recruiting
  • Mississippi Center for Advanced Medicine
    Madison, Mississippi, United States
    Active not recruiting
  • Clinical & Translational Research Center (CTRC)
    Chapel Hill, North Carolina, United States
    Not yet recruiting

+30 more sites. See ClinicalTrials.gov for the full list.

Study contacts

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Other studies for the same condition or treatment. Recruiting studies are listed first.

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  • Newborn Sickle Cell Screening in Mozambique

    We’re testing a three-part plan to help babies in Mozambique get diagnosed early for sickle cell disease and start care quickly.

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  • Optimizing Hydroxyurea in Children with Sickle Cell in Africa

    This study tests whether raising hydroxyurea to a maximum tolerated dose is safe and beneficial for Ugandan children with sickle cell anemia already taking a fixed daily dose.

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  • Virtual reality options to help with VOC pain in adults with SCD

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How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.